Lillian D Moore (NPI# 1447663398, PAC ID# 2860610193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1447663398 |
| PAC ID by PECOS | 2860610193 |
| Professional Enrollment ID | I20161228000400 |
| Full Name | Lillian D Moore |
| Organization Legal Name | OKOLOCHA MEDICAL CORP |
| Address |
2054 Grant St Gary IN 46404-3060 |
| Phone Number | 2199497540 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597794834 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150002 | METHODIST HOSPITALS INC |
| Address | Phone | Organization |
|---|---|---|
| 2054 Grant St, Gary, IN 46404-3060 | 2199497540 | OKOLOCHA MEDICAL CORP |
| Organization Legal Name | OKOLOCHA MEDICAL CORP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eunice Okolocha | Nurse Practitioner | Okolocha Medical Corp | 2054 Grant St, Gary, IN 46404-3060 |
| Street Address |
2054 GRANT ST |
| City | GARY |
| State | IN |
| Zip | 46404-3060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eunice Okolocha | Nurse Practitioner | Okolocha Medical Corp | 2054 Grant St, Gary, IN 46404-3060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Watkins | Ophthalmology | 2318 W 5th Ave, Gary, IN 46404-1331 | |
| Rachael Lee Ross | Family Medicine | David E Ross Jr Md PC | 1619 W 5th Ave, Primary Care Consultants, Gary, IN 46404-1506 |
| David E Ross Jr. | Family Practice | David E Ross Jr Md PC | 1619 W 5th Ave, Primary Care Consultants, Gary, IN 46404-1506 |
| Chinyere I Odeluga | Family Medicine | The Methodist Hospitals Inc | 650 Grant St, Gary, IN 46404-1533 |
| Reuben C Rutland | General Surgery | The Methodist Hospitals Inc | 650 Grant St, Gary, IN 46404-1533 |
| Olusegun Apata | Pulmonary Disease | 650 Grant St, Suite 7, Gary, IN 46404-1551 | |
| Henrique E Scott | General Surgery | The Methodist Hospitals Inc | 650 Grant St, Suite 5, Gary, IN 46404-1551 |
| Paul E Nyongani | General Surgery | The Methodist Hospitals Inc | 650 Grant St, Suite 5, Gary, IN 46404-1551 |
| Amead Abd Alrahim Atassi | General Surgery | The Methodist Hospitals Inc | 650 Grant St, Suite 4, Gary, IN 46404-1551 |
| Ifeanyi Benjamin Anigbo | Family Practice | Family Medicine Consultants Corp | 650 Grant St, Gary, IN 46404-1551 |
| Find all physicians in zip 46404 | |||
| City | GARY |
| Zip Code | 46404 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GARY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lillian D Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.